Evidence map›Paper›PMID 40899021›Full record

ArticleJournal of dental education2026

Content Validity Assessment of a Virtual Patient-Based Learning Platform for TMD Education among Orofacial Pain Experts.

Linda Sangalli, Elizabeth Manning, Anna Alessandri-Bonetti, Sahar Mirfarsi, Craig S Miller

Abstract readValidation Study
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Linda SangalliCollege of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA.ORCID https://orcid.org/0000-0002-1386-5594
Elizabeth ManningCollege of Dental Medicine - Illinois, Midwestern University, Downers Grove, Illinois, USA.
Anna Alessandri-BonettiInstitute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, Rome, Italy.
Sahar MirfarsiCollege of Dental Medicine, Western University of Health Sciences, Pomona, California, USA.
Craig S MillerDivision of Oral Diagnosis, Oral Medicine, and Oral Radiology, College of Dentistry, University of Kentucky, Lexington, Kentucky, USA.

Funding

Feasibility of a New Methodology for Dental Education in Temporomandibular Disorders through Virtual Patient-Based LearningR03DE034042 · NIDCR · MIDWESTERN UNIVERSITY · PI Linda Sangalli · 2025 to 2026
$211k
Clinical Research Service (CRS) Faculty Grant Program, Midwestern UniversityNIDCR NIH HHS R03 DE034042NIDCR NIH HHS R03DE034042
6 · The paper itself

Abstract

introductionTo compensate for inadequate clinical exposure to temporomandibular disorders (TMD) among dental students during predoctoral training, a virtual patient-based learning (VPBL) platform was developed for integration into the TMD predoctoral curriculum. This study tested the VPBL's content validity among 10 orofacial pain (OFP) experts responsible for TMD education at U.S. institutions.

methodsWe developed a digital platform of 20 virtual patients (VPs) using Articulate Storyline, featuring common OFP conditions (based on Diagnostic Criteria for TMD) and divided into four modules (muscular-TMD, articular-TMD, mixed-TMD, and non-TMD). Each OFP-expert was randomly assigned to one VP from each module (a total of 4 VPs). VP's content validity was assessed through the Suitability Assessment of Materials across 6 domains (content, literacy level, graphics, layout, learning simulation, and cultural appropriateness) by computing Item-Level Content Validity Index (0-1 I-CVI, with ≥0.78 = "excellent validity" based on established recommendations), Scale-CVI/Universal Agreement (0-1 S-CVI/UA, with ≥0.8 = "excellent"), and total suitability score (0%-100%, with ≥70% = "superior material").

resultsThe total suitability score was 89.1%±5.1 (range 81.2%-93.2%), corresponding to "superior material." The average VP's CVI was 0.95±0.01. The literacy level category received the lowest scores due to >9th-grade reading level demand (I-CVI 0.28±0.38, range 0.22-0.33). The S-CVI/UA was 0.93±0.04 (range 0.86-1.00) across all VPs, the lowest being a case of disc displacement without reduction in the articular TMD module (average I-CVI = 0.86).

conclusionsThe VPBL platform, designed for predoctoral TMD education, demonstrated excellent content validity among OFP experts. Future steps include testing its implementation in the TMD curriculum of a large predoctoral school.

Indexed as

Computer-Assisted InstructionEducation, DentalFacial PainTemporomandibular Joint DisordersCurriculumHumansPatient SimulationReproducibility of Resultsdigital learning educationpredoctoral dental schooltemporomandibular disordersTMD curriculumvalidationvirtual patients

Identifiers

PMID40899021
PMCPMC13135693

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.